National Provider Identifier

Joel D Russell, LMSW

Joel D Russell, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 859-5460.

NPI 1093266710Buffalo, NYSocial Worker

Profile Overview

NPI
1093266710
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
October 18, 2016
Last Updated
October 18, 2016

Practice Location

  • 1028 Main St
  • Buffalo, NY 14202-1102

Phone: (716) 859-5460

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1093266710
Entity Type
Individual
Last Name
Russell
First Name
Joel
Middle Name
D
Credential
LMSW
Mailing Street Address
1028 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-1102
Mailing Country
US
Practice Street Address
1028 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1102
Practice Country
US
Practice Phone
(716) 859-5460
Enumeration Date
October 18, 2016
Last Updated
October 18, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)